Value of transvaginal sonography in diagnosing heterotopic pregnancy after <i>in‐vitro</i> fertilization with embryo transfer

Li, X. H.; Ouyang, Yan; Lu, Guangxiu

doi:10.1002/uog.12341

Cited by 71 publications

(92 citation statements)

References 23 publications

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“…Heterotopic pregnancy should be considered in all women presenting after assisted reproductive technologies, in women with an intrauterine pregnancy complaining of persistent pelvic pain and in those women with a persistently raised β‐hCG level following miscarriage or termination of pregnancy …”

Section: Diagnosis Of Ectopic Pregnancymentioning

confidence: 99%

Diagnosis and Management of Ectopic Pregnancy

2016

BJOG

229

140

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Section: Diagnosis Of Ectopic Pregnancymentioning

confidence: 99%

Diagnosis and Management of Ectopic Pregnancy

2016

BJOG

229

140

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“…Notably, the precision of diagnosis of these diagnostic methods is affected by certain factors such as operator skill [17][18][19], lesion site [20], and lesion type [7,14], such that the women with sessile or focal lesions (such as endometrial polyp and submucousal fibroids) are recommended to undergo hysteroscopic biopsies rather than other procedures [7,13].…”

Section: Discussionmentioning

confidence: 99%

“…Although TVS has recently become an efficient device to detect cases with intrauterine abnormalities, this method is a screening technique and plays a fundamental role in presurgical diagnosis. In contrast, hysteroscopy is simultaneously a diagnostic and therapeutic technique but requires local and relatively invasive anesthesia [6][7][8][9]. Examining for and diagnosing uterine abnormalities can affect the result of assisted reproductive technology (ART) and is considered one of the important therapeutic procedures before treatment of infertility [10].…”

Section: Introductionmentioning

confidence: 99%

Success Rates of Vaginal Sonography and Hysteroscopy for Diagnosis of Intrauterine Pathologies in Female Infertility

Yavangi

Farimani

Zonoori

et al. 2019

JPRI

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Background and Aim: Uterine anatomical pathologies play important roles in causing female infertility. This study was conducted to survey the efficiency of hysteroscopy and vaginal sonography in detecting the intrauterine pathologies in infertile women. Methods: This cross-sectional study was conducted on all the infertile women referring to the Endometriosis Research Center between December 22, 2013 and August 22, 2015. Forty five women were recruited and the data on the examinations of uterine lesions were analyzed by transvaginal sonography (TVS), hysteroscopy, and pathology as the standard test. Data analysis was conducted by SPSSv16 using t-test and Mann-Whitney test, and the sensitivity and specificity were measured with reference to the standard test. Findings: For diagnosing polyp, endometrial hyperplasia, and myoma, TVS showed the 75%, 25%, and 85.71% sensitivity, respectively, and specificity of 92.30%, 92.30%, and 56.97% respectively. For them, hysteroscopy showed the 60%, 75%, and 75.71% sensitivity respectively, and specificity of 71.65%, 30.92%, and 56.97% respectively. Conclusion: According to the findings of this study, the sensitivity of TVS and hysteroscopic findings in diagnosing uterine pathologies is relatively high, but the sensitivity of TVS was low to diagnosis of endometrial hyperplasia.

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“…Thus, the early diagnosis of ectopic gestation is the key of treatment. Currently, ultrasonic examination as an invasive examination has become the main means for the diagnosis of ectopic gestation, among which, transvaginal sonography and transvaginal sonography featured by simple operation, high repeatability, and high accuracy can provide patients with effective and important information about treatment and prognosis 15,16…”

Section: Discussionmentioning

confidence: 99%

“…Currently, ectopic gestation is mainly diagnosed by transvaginal sonography and transabdominal sonography; the two kinds of examination have their own features; most patients with ectopic gestation can be diagnosed before rupture, but misdiagnosis or missed diagnosis is still possible 6. Transabdominal sonography, a traditional examination method for ectopic gestation, is featured by wide scanned area.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of clinical effect of transabdominal sonographyand transvaginal sonography in early diagnosis of ectopic gestation

Feng

Sun

2017

Pak J Med Sci

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Objective:To analyze the application of transabdominal sonography and transvaginal sonography in early diagnosis of pregnancy and to provide a reference for the selection of diagnosis methods in clinic.Methods:One hundred and eighty patients who were admitted into the hospital from February 2013 to February 2014, received clinical diagnosis and were confirmed as ectopic gestation by surgery were selected as research objects. They were examined by transabdominal sonography, transvaginal sonography, and transabdominal sonography in combination with transvaginal sonography respectively. Besides, the ultrasonic performance was observed and compared with surgical pathological results to analyze and compare diagnostic accordance rate.Results:The positive rate of transabdominal sonography in combination with transvaginal sonography was much higher than that of transabdominal sonography and transvaginal sonography and the differences had statistical significance (P<0.05). The detection rate of different positive characteristics using the combined examination was much higher than that of transabdominal sonography and transvaginal sonography, and the differences had statistical significance (P<0.05). The detection rates of different types of ectopic gestation and different sizes of mass using transabdominal sonography in combination of transvaginal sonography were higher than that of transabdominal sonography and transvaginal sonography (P<0.05).Conclusion:Transabdominal sonography in combination with transvaginal sonography can complement information, improve detection rate, and reduce or avoid misdiagnosis and missed diagnosis, which provides a scientific basis for the formulation of clinical treatment scheme.

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Value of transvaginal sonography in diagnosing heterotopic pregnancy after in‐vitro fertilization with embryo transfer

Abstract: Objectives To assess the value of transvaginal sonography (TVS) in the diagnosis of heterotopic pregnancy (HP) in the first trimester after in-vitro fertilization with embryo transfer (IVF-ET). Methods

Cited by 71 publications

References 23 publications

Diagnosis and Management of Ectopic Pregnancy

Diagnosis and Management of Ectopic Pregnancy

Success Rates of Vaginal Sonography and Hysteroscopy for Diagnosis of Intrauterine Pathologies in Female Infertility

Evaluation of clinical effect of transabdominal sonographyand transvaginal sonography in early diagnosis of ectopic gestation

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